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中华关节外科杂志(电子版) ›› 2022, Vol. 16 ›› Issue (01) : 74 -78. doi: 10.3877/cma.j.issn.1674-134X.2022.01.012

综述

全膝关节置换翻修单纯更换聚乙烯衬垫的临床应用
区松文1, 李奇1,()   
  1. 1. 510280 广州,南方医科大学珠江医院关节骨病外科
  • 收稿日期:2021-06-17 出版日期:2022-02-01
  • 通信作者: 李奇

Clinical application of isolated polyethylene exchange in revision total knee arthroplasty

Songwen Ou1, Qi Li1,()   

  1. 1. Department of Joint and Orthopedics, ZhuJiang Hospital of Southern Medical University, Guangzhou 510280, China
  • Received:2021-06-17 Published:2022-02-01
  • Corresponding author: Qi Li
引用本文:

区松文, 李奇. 全膝关节置换翻修单纯更换聚乙烯衬垫的临床应用[J]. 中华关节外科杂志(电子版), 2022, 16(01): 74-78.

Songwen Ou, Qi Li. Clinical application of isolated polyethylene exchange in revision total knee arthroplasty[J]. Chinese Journal of Joint Surgery(Electronic Edition), 2022, 16(01): 74-78.

全膝关节置换术(TKA)是治疗严重终末期膝关节疾病最成功的手术之一。伴随着国内手术需求逐年增加,TKA翻修的数量也将快速增加。考虑到TKA翻修的复杂性,面对TKA术后失败时,膝关节部分翻修成为了可供临床医生考虑的可选项。而单纯更换聚乙烯衬垫(IPE)相比其他翻修方式,具有创伤小、恢复快等优点,值得优先考虑。目前对于如何正确掌握和应用IPE的适应证和禁忌证等缺乏系统论述,本文对全膝关节置换翻修中单纯更换聚乙烯衬垫的临床应用进展作一综述。

Total knee arthroplasty (TKA) is one of the most successful procedures for the treatment of severe end-stage knee disease. With the increasing demand for TKA in China, the number of revision TKA will increase rapidly. Considering the complexity of revision TKA, partial knee revision has become an option for clinicians when handling TKA failure. Compared with other revision methods, isolated polyethylene exchange (IPE) has the advantages of less trauma and quick recovery, so it is worth considering firstly. At present, there is a lack of systematic discussion on how to correctly master and apply the indications and contraindications of IPE. This paper focused on the research progress of isolated polyethylene exchange at revision TKA.

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